February 8, 2011 Number 47 Upcoming Seminars for the Illinois Health Care Association and the Illinois Council on Long Term Care Seminars included in this issue: MDS 3.0 RAC-CT Certification and Recertification Workshop Review Course for the Illinois Licensure Examination for Nursing Home Administrators Education Access Offers Web Seminar Series Exclusively for Nurses Save the Date: 14th Annual Resources for Success Seminars by Other Groups MDS 3.0 RAC-CT Certification and Recertification Workshop The Illinois Health Care Association will be sponsoring the AANAC MDS 3.0 RAC-CT Certification and Recertification Workshop on February 28 March 2 at the Northfield Inn in Springfield. Days 1, 2 and 3 are required to become certified for the first time; days 1 and 2 are for recertification (although the third day is strongly recommended). The objectives of this three-day certification/recertification program are as follows: (Day 1) MDS 3.0 Coding for OBRA and PPS / Accurately Assessing Functional Status and the MDS 3.0 Describe the relationship between the purpose of the MDS and the types of questions that appear on the MDS. State the intent of each MDS item. Accurately code each item of the MDS. Discuss the effects of inaccurate MDS coding. (Day 2) OBRA Timing and Scheduling for MDS 3.0 Discuss requirements for scheduling and timing of OBRA-required MDS assessments. Identify appropriate use of the discharge assessments and entry records. State the criteria for completing the Significant Change in Status Assessment. Discuss correct use of the Significant Correction assessments.
Identify criteria and timing issues related to Section X, the Correction Request. (Day 2) PPS Timing and Scheduling and the MDS 3.0 Describe the process for setting the ARD for a SNF PPS assessment. Identify the impact of unscheduled PPS assessments on payment. State the regulatory time frames for completing PPS MDS assessments. Describe the process for combining OBRA-required and PPS-required assessments. (Day 2) Resource Utilization Groups (RUGs) IV and the MDS 3.0 Understand the development of the RUG-IV 66 Group classification system used in the Medicare Prospective Payment System (PPS). Calculate the RUG-IV 66 Group classification from the MDS 3.0 item set. Incorporate the RUG-IV 66 Group classification component into the case mix reimbursement calculation. Value the importance of accurate completion of the MDS in a RUG-based case mix reimbursement system. (Day 2) Care Area Assessments (CAAs) and the MDS 3.0 Describe the role and concept of the CAA. List 3 sources of evidence-based tools for conducting the CAA assessments. State the components of CAA documentation. (Day 3) Introduction to Medicare Part A Identify the criteria necessary for the beneficiary to qualify for skilled nursing facility (SNF) benefits. Discuss the facility s responsibilities when a resident is denied Part A coverage and the resident s right to a demand bill. Explain how to make the decision about whether or not to cover a resident on Part A. Describe the role of the Health Insurance Prospective Payment System (HIPPS) codes. Describe the documentation that the SNF must complete to be in compliance as a Medicare provider. (Day 3) Care Planning and the MDS 3.0 Describe the relationship between the RAI process, the care plan, and quality resident care. List 3 broad areas to be considered for care planning in addition to the RAI assessment information. List the components of an effective care plan. Discuss the role of critical thinking in the care planning process. Identify the members of the Interdisciplinary Team and discuss their role in the care planning process. List 4 occasions that trigger the need to reevaluate the care plan. Define interim care plan. (Day 3) Accurately Assessing Pain for the MDS 3.0 Describe the scope of the pain problem in long term care facilities. Differentiate between acute and chronic pain.
Describe the physiology of pain transmission. Identify barriers to optimal pain management. List five key components for effective pain assessment. (Day 3) Five-Star Rating System Explain the role of health inspections in the Five-Star Quality Rating System. Identify the effect that Quality Measures have on the number of stars a facility earns. Discuss the details of the staffing calculation and its effect on the facility s rating. Understand key strategies for positively affecting the facility s Five-Star Quality Rating. For the program brochure, click here. Review Course for the Illinois Licensure Examination for Nursing Home Administrators The Illinois Health Care Association is offering this review course on: Saturday, March 12 and Saturday, March 19, 2011, Hilton, Lisle/Naperville Wednesday, March 23 and Thursday, March 24 2011, Northfield Inn, Suites and Conference Center, Springfield This two-day course will cover the following material: DAY ONE March 12 and March 23 will be devoted to reviewing material covered by the national portion of the exam. The session will cover federal laws and regulations, and present basic principles of leadership and management, human resources, finance, physical environment, and resident care and quality of life. DAY TWO March 19 and March 24 will focus on materials covered by the state supplemental part of the exam, primarily the Illinois Minimum Standards. For the seminar brochure and registration form, click here. To register online, click here. Education Access Offers Web Seminar Series Exclusively for Nurses Registered nurses and licensed practical nurses are now required to obtain 20 continuing education hours per licensure period. This is a dilemma for many long term care facilities due to cost of education as well as it being impossible to have employees attend face-to-face seminars. Education Access has the solution! For an IHCA and ICLTC member facility fee of only $1250 per year, you will have access to enough web seminars to more than meet the
20 CE requirement. This fee also includes unlimited access to the Education Access Library where the web seminars will be archived. The non-member fee is $1950. For facilities that choose not to take advantage of the yearly program, all web seminars will be available à la carte for a member fee of $75 each. Archived seminars will also be $75 each. The non-member fee is $125. The web seminar series will include a variety of topics for clinical, leadership, and legal issues, including the following: Geriatrics 101 Physiological changes of aging Cardiac function Peripheral circulation Nutrition Skin Implications for nursing practice Lab values Psychological/Depression/Impact of multiple losses Medication 101 Drug/food interactions 6 Rs (right med, right dose, right resident, right route, right time, right documentation) Technique Verifying appropriate dosage and indication/side effects Taking a medication order (dosage, route, etc.) Appropriate in Geriatric Population Commonly used medications/dosages Implications of nursing practice Medication metabolism Psychotropics Informed consent Initial AIMS Indications Ways to avoid initiating Protocol/regulation Consequences of adverse reaction Tubes, Lines and Trachs Documentation Basic site care and assessment Scope of practice Checking for Contraindications Nutrition Swallowing issues/choking Diets Liberalized diets
Thickened liquids (appropriate use) Dealing with non compliance Enhance appetite/meds for appetite stimulants and short-term use/resident preferences Dining room etiquette (pleasant dining experience, the nurse s role) Weight loss, monitoring CDC 101 Isolation precautions and when to use them Most common infections seen in LTC Overuse of antibiotics Assessments Types Head to toe Skin Respiratory Circulatory Neurological GI Change in condition Notification Documentation Dementia Care Dementia vs. delirium Dementia vs. normal aging Best practice Meds Environmental, ambience Individualized approaches Relationship of caregiver Caregiver burnout End of Life Care Advanced Directives Hospice Psychological implications Dealing with families Pain management Proper atmosphere Spiritual issues Developing a protocol Assisting resident/family in making decisions Ongoing documentation Professional Liability Scope of Practice Delegation Documentation
Approved abbreviations Anatomical descriptions Nurse responsibility Best practice Medicare documentation how it differs Social Networking Implications Texting Facebook Twitter Myspace Cell phone usage Privacy implications Photos (staff with residents, etc.) HIPAA expectations Resident Rights vs. Protective Oversight Clinical examples Role of facility Side rails, restraints, food preferences Family wishes vs. best interest of resident Falls Neurological assessment Musculoskeletal assessment Documentation Interventions Notifications When is a fall a fall Root cause Care plan OSHA Proper use of mechanical lifts Limited lift facilities Common OSHA violations and how to avoid Customer service Who to call, when to call, what to say and when to say it (communicating change in condition, Health Care Power of Attorney) Dealing with families Understanding family dynamics, emotions as related to placement in LTC Person-directed care Survey Savvy Communicating with surveyors (nothing is off the record) Types of surveys Role of all departments (making a good impression) Physical plant
Expectations (asking surveyors for ID, what you can and cannot give surveyors, resident roster) Being organized, know care plans Nurses Role in a Disaster Types of disasters Triage Know your chain of command in your county (Civil Defense, Public Health, etc.) Developing a preparedness plan Maintaining a calm atmosphere Handling incoming calls Professionalism Use of terminology, slang, etc. Boundaries (employee vs. friend) Dress Communication Owning the problem Conduct in the work place Maintaining certifications Staying current Empowering/Teaching, etc. Mentoring, coaching Supervision Big picture Managing the care of the resident Critical thinking How and when to delegate Tasks vs. Accepting responsibility for delivering care Further details concerning how to sign up will be available soon in future editions of Education Access. Save the Date: 14th Annual Resources for Success The Illinois Health Care Association will be sponsoring its 17th Annual Resources for Success event on March 30 & 31 at the Northfield Inn & Suites. Theresa Lang will provide the keynote presentation for the first day of the event. The second day will include presentations from Mardy Chizek and Nick Lynn. Further details will be available soon. Seminars by Other Groups The Illinois Health Care Association lists Seminars by Other Groups on its website. To view this helpful calendar, please click here.
Education Access is a weekly informational notice from the Health Care Council of Illinois highlighting upcoming seminars for the Illinois Health Care Association and Illinois Council on Long Term Care. Questions about IHCA seminars may be addressed to IHCA s education department at (217) 528-6455. For questions about Illinois Council seminars, contact the Council at (773) 478-6613.